First name: (required)
Surname: (required)
Address: (required)
Landline:
Mobile: (required)
Your Email (required)
Gender: MaleFemalePrefer not to sayPrefer to self-describe
Date of birth:
How did you hear about volunteering with Woking Mind?
Please select the areas of our work that you are interested in: Discussion group facilitationExercise group facilitationCraft/hobby group facilitationNutrition and diet group facilitationOther group facilitation (please specify in the box below)General group/ drop-in supportFood preparation/ kitchen dutiesFundraising/ marketing supportOffice/ administration supportWalking group supportInformal 1-1 listeningsupportCommunity Wellbeing CallsCounselling placementOther activities (please specify in the box below)
If you selected other in the form field above please specify in the box below
Please tell us why do you want to volunteer with Woking Mind?
Please tell us what you hope to gain from your experience with us?
Please tell us about any educational background, work or volunteering experience that would be relevant to the volunteer role you are applying for.
If you have volunteered before, please give details of where you have volunteered, for how long and describe your volunteer role.
What hobbies, skills, special interests or qualities do you have that may be relevant to the volunteer role you are applying for?
When are you available to volunteer? Please tick all that apply: Monday MorningMonday AfternoonMonday EveningTuesday MorningTuesday AfternoonTuesday EveningWednesday MorningWednesday AfternoonWednesday EveningThursday MorningThursday AfternoonThursday EveningFriday MorningFriday AfternoonFriday EveningSaturday MorningSaturday AfternoonSaturday EveningSunday MorningSunday AfternoonSunday Evening
Please specify how frequently you would like to volunteer (weekly, fortnightly, monthly etc.) and the length of commitment you would like to make (e.g. ongoing, September only, etc.)
References: Please supply us with the names of two referees (non-relatives)
Address:
Email:
Telephone:
Relationship to you:
Length of time known:
Do you have any special requirements that we would need to take into consideration? yesno
Please provide us with an emergency contact name and number* for someone we can get in touch with in case of an unlikely emergency when you are on-site at the organisation.
Name:
Relationship:
Number:
*This will be treated confidentially, stored securely, and the emergency contact will only be contacted for that purpose.
Any other comments:
Privacy note: The information on this form will be used to assess your suitability for a volunteer role. It will be destroyed/deleted if there is no available role after this process. If you join us, you will be asked to complete a �?New volunteer form’ or contract which will contain the information we need to register and manage you as part of the team. This enquiry form will also be kept on our database and in our secure online files.
Please note that an enhanced DBS check is required to volunteer in many of our roles. If you already have a recent DBS certificate, please tick this box: yes
